Incontinence Flashcards
Urge incon clinical hx
abrupt desire to void accompanied by an involuntary leakage of urine I pee a lot Feel I have to go all the time Have URGE to go When a go just a little comes out
Urge incon etiology
detrusor instability, neurologic disorders (MS), spinal cord injury, stroke
Urge incon PVR
low
Urge incon non med tx
timed void, prompted voiding
Urge incon meds
Anticholinergics: oxybutinin, tolterodine, trospium, darifenacin, solifenacin, botox, TCA, estrogen
Overflow - neurogenic bladder clinical hx
I dont pee at all
Dont feel I have to go, but a lot comes out
Overflow- neurogenic bladder etiology
Spinal cord injury, DM, spinal stenosis - maybe abdominal mass
Overflow- neurogenic bladder PVR
high
Overflow- neurogenic bladder tx
intermittent catheter - no meds
Stress incon etiology
vaginal childbirth, vaginal instrumentation, lax pelvic musculator
stress incon clinical hx
pee with laugh, cough, sneeze
qtip test >30 = urethrohypermobility (urethrovesical junction mobility)
stress incon pvr
low
stress incon tx
kegels, pessary, surgical sling
overflow - obstruction clinical hx
problems starting urine, flow is weak, just went
may be unmasked by diphenhydramine, other H1 blockers
overflow - obstruction etiology
BPH, myomas
